Post Date December, 03 2023
Is it necessary to perform surgery on children with long foreskin, and when is the best time to perform surgery?
A: Normally, the foreskin of a child is slightly longer, wrapping around the glans and outer urethral opening, which is a physiological phenomenon. As long as urination is normal, there is no need for surgery in childhood.
However, symptomatic treatment is required when there are the following conditions: 1. The foreskin mouth is narrow and forms a phimosis, resulting in obstruction of urination, and a small bubble is formed in the foreskin cavity during urination. 2. There is foreskin scaling in the foreskin cavity, and it often causes inflammation such as redness and swelling of the foreskin. 3. Adhesion between the foreskin and the glans often causes discomfort such as local itching. When there is no inflammation in the foreskin, it can be treated with dilation of the foreskin mouth, separation of foreskin adhesion, and removal of foreskin dirt. After treatment, often clean the foreskin to prevent the accumulation of foreskin scale and adhesion of the foreskin. "Some children may have swelling of the foreskin after dilation of the foreskin opening, which is not a major obstacle. They can be washed with warm saline or 1/5000 potassium permanganate solution twice a day, and generally can subside within 3-4 days.". "If the foreskin shows signs of redness, swelling, and inflammation, it can be washed with 1/5000 potassium permanganate solution, 2-3 times a day, and taken orally with ordinary antibiotics for a few days. After the inflammation has completely subsided, treatment such as foreskin expansion can be performed.". It is generally recommended to undergo circumcision after puberty and before marriage. "However, if there is frequent inflammation in childhood that causes cicatricial stenosis of the prepuce opening, circumcision is feasible, but it is not advisable to remove too much prepuce.".
